Study guides, Class notes & Summaries

Chapter 34: Heart Failure Lewis: Medical-Surgical Nursing, 10th Edition

1. The movement of water or another solvent across the cellular membrane from an area of low solute concentration to an area of high solute concentration is referred to as A. meiosis. B. osmosis. C. lysis. D. mitosis. _____ 2. Cells become specialized in their structure and function through A. proliferation. B. atrophy. C. differentiation. D. pinocytosis. _____ 3. Eradicating the disease is the goal of A. palliative treatment. B. all cancer treatment. C. prophylactic treatment. D. curative treat...

A 38­week primigravida who works as a secretary and sits at a computer 8 hours each day tells the nurse that her feet have begun to swell. Which instruction would be most effective in preventing pooling of blood in the lower extremities? Move about every hour Pooling of blood in the lower extremities results from the enlarged uterus exerting pressure on the pelvic veins. Moving about every hour will straighten out the pelvic veins and increase venous return. A 26­year­old, gravida 2, par...

1. A 38-week primigravida who works as a secretary and sits at a computer for 8 hours each day tells the nurse that her feet have begun to swell. Which instruction would be most effective in preventing pooling of blood in the lower extremities? - Move about every hour 2. A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneously to stop her labor contractions. The ...

A 38-week primigravida who works as a secretary and sits at a computer 8 hours each day tells the nurse that her feet have begun to swell. Which instruction would be most effective in preventing pooling of blood in the lower extremities? - Move about every hour Pooling of blood in the lower extremities results from the enlarged uterus exerting pressure on the pelvic veins. Moving about every hour will straighten out the pelvic veins and increase venous return. A 26-year-old, gravida 2, pa...

1. A 38-week primigravida who works as a secretary and sits at a computer for 8 hours each day tells the nurse that her feet have begun to swell. Which instruction would be most effective in preventing pooling of blood in the lower extremities? Move about every hour Pooling of blood in the lower extremities results from the enlarged uterus exerting pressure on the pelvic veins. Moving about every hour will straighten out the pelvic veins and increase venous return. 2. A 26-year-old, gra...

Chapter 42: Lower Gastrointestinal Problems Lewis: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. Which action will the nurse include in the plan of care for a patient who is being admitted with Clostridium difficile? a. Teach the patient about proper food storage. b. Order a diet without dairy products for the patient. c. Place the patient in a private room on contact isolation. d. Teach the patient about why antibiotics will not be used. ANS: C Because C. difficile is high...

Chapter 35: Dysrhythmias Lewis: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. To determine whether there is a delay in impulse conduction through the ventricles, the nurse will measure the duration of the patient’s a. P wave. c. PR interval. b. Q wave. d. QRS complex. ANS: D The QRS complex represents ventricular depolarization. The P wave represents the depolarization of the atria. The PR interval represents depolarization of the atria, atrioventricular node, bundle of H...

Chapter 49: Endocrine Problems Lewis: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. A 40-yr-old patient with suspected acromegaly is seen at the clinic. To assist in making the diagnosis, which question should the nurse ask? a. “Have you had a recent head injury?” b. “Do you have to wear larger shoes now?” c. “Is there a family history of acromegaly?” d. “Are you experiencing tremors or anxiety?” ANS: B Acromegaly causes an enlargement of the hands and feet....

Chapter 67: Acute Respiratory Failure and Acute Respiratory Distress Syndrome Lewis: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. Which diagnostic test will provide the nurse with the most specific information to evaluate the effectiveness of interventions for a patient with ventilatory failure? a. Chest x-ray b. O2 saturation c. Arterial blood gas analysis d. Central venous pressure monitoring ANS: C Arterial blood gas (ABG) analysis is most useful in this setting because...